ATI Medical-Surgical Practice Test: Immune and Infectious Questions and Answers 2024.
A nurse is collecting data from a client who has had systemic
... [Show More] scleroderma for 5 years. In addition to skin changes, which of the following findings should the nurse expect?
A. Excessive salivation
B. Finger contractures
C. Periorbital edema
D. Alopecia - CORRECT ANSWER B. Finger contractures
Scleroderma is a chronic disease that can cause thickening, hardening or tightening of the skin, blood vessels and internal organs. There are 2 types: localized scleroderma, which mainly affects the skin, and systemic scleroderma which may affect many internal organs. The symptoms include skin changes, Raynaud's disease, arthritis, muscle weakness, and dry mucous membranes. With scleroderma, the body produces and deposits too much collagen, causing thickening and hardening. in addition to the clients skin and subcutaneous tissues becoming increasing hard and rigid, the extremities stiffen and lose mobility. Contractures develop with advanced systemic scleroderma unless clients follow a regimen of range of motion and muscle strengthening exercises
A nurse is caring for a client who is HIV-positive is reinforcing teaching about the earliest manifestations of AIDS. The nurse explains that they include which of the following?
A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
B. Elevated WBC count
C. Increased blood pressure, tachycardia, dyspnea and edema
D. Influenza-like symptoms including fatigue, sore throat, muscle pain, headache and swollen glands - CORRECT ANSWER A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
A client diagnosed with systemic lupus erythematosus (SLE) is concerned about skin lesions on the face and neck. the client asks the nurse, "what should I do about these spots?" which of the following nursing responses is appropriate?
A. "Keep the lesions covered with a light sterile dressing when going outdoors"
B. "There is not much you can do. The lesions will go away when your disease is in remission"
C. "Apply moisturizer after bathing the lesions with warm water"
D. "Apply antibiotic cream twice a day until scabs form on the lesions" - CORRECT ANSWER C. "Apply moisturizer after bathing the lesions with warm water"
A client who tests positive for the human immmunodeficiency virus (HIV) asks the nurse, " should i tell my partner that I am an HIV positive/" which of the following is appropriate nursing response?
A. "That is your decision alone"
B. "I would if I were you"
C. "You aren't sure what to say to your partner?"
D. "We are required by law to notify your partner" - CORRECT ANSWER C. "You aren't sure what to say to your partner?" [Show Less]